GWENDOLYN Z LIEB M.D.
NPI 1750709978
Pediatrics in Fairbanks, AK

Active since April 04, 2014PECOS EnrolledAccepts Medicare Assignment
1717 W COWLES ST, FAIRBANKS, AK 99701(907) 451-6682 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 8, 2017 (3 updates tracked since 2017).

About Gwendolyn Z Lieb M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GWENDOLYN Z LIEB M.D. (NPI 1750709978) is an individual pediatrics provider in Fairbanks, Alaska, licensed in Alaska (121743) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Seattle, and is a graduate of University Of Washington School Of Medicine (2014).

NPPES Registry Identity

NPI1750709978
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameGWENDOLYN Z LIEBCredential: M.D.
Location Address1717 W COWLES STFairbanks, AK 99701-5926
Mailing Address900 5th Ave S Unit 100Edmonds, WA 98020-4036 · (206) 660-0395
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2014
Enumeration DateApril 4, 2014
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1750709978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in AK · 121743✔ Licensed in WA · 60469767
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1717 W COWLES ST, Fairbanks, AK 99701

Other Names 1

Former Name (1)Gwendolyn Z Gottlieb Md

Secondary Practice Location 1

Location 14800 Sand Point Way NE, OC.7.830Seattle, WA 98105-3901 · Phone (206) 987-2525

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gwendolyn Z Lieb M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648583690
PECOS Enrollment IDI20200326003373
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dietitian, Registered
1717 W COWLES ST
FAIRBANKS, AK 99701
Family Medicine
1717 W COWLES ST
FAIRBANKS, AK 99701
Registered Nurse
1717 W COWLES ST
FAIRBANKS, AK 99701
Counselor
1717 W COWLES ST
FAIRBANKS, AK 99701
Community Health Worker
1717 W COWLES ST
FAIRBANKS, AK 99701
Registered Nurse
1717 W COWLES ST
FAIRBANKS, AK 99701
Community Health Worker
1717 W COWLES ST
FAIRBANKS, AK 99701
Registered Nurse
1717 W COWLES ST
FAIRBANKS, AK 99701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gwendolyn Lieb's NPI number?

The NPI number for Gwendolyn Lieb is 1750709978. It was assigned to this individual provider in the NPPES registry on April 4, 2014. The provider is also known as Gwendolyn Z Gottlieb MD.

Where is Gwendolyn Lieb located?

Gwendolyn Lieb practices at 1717 W Cowles St, Fairbanks, AK 99701. The listed phone number is (907) 451-6682.

What is Gwendolyn Lieb's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Gwendolyn Lieb enrolled in Medicare?

Yes. Gwendolyn Lieb is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gwendolyn Lieb accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Gwendolyn Lieb as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gwendolyn Lieb was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.